Staged lower lip reconstruction following gangrenous stomatitis in an immunosuppressed patient
Archives of Craniofacial Surgery
; : 222-226, 2018.
Article
in En
| WPRIM
| ID: wpr-716865
Responsible library:
WPRO
ABSTRACT
A 70-year-old male with a history of diabetes mellitus, hypertension, and coronary stent insertion visited our hospital 7 days after biting his lower lip. Swelling and inflammation had worsened despite debridement and antibiotic treatment. On the 8th hospital day, fungal infection with Candida albicans and superimposed bacterial infection with Klebsiella pneumoniae were found on tissue culture. Extensive necrosis resulted in a defect of approximately 3/4 of the entire lower lip and a full-layer skin defect from the vermilion to the gingivobuccal sulcus at the right corner of the mouth. To correct drooling, incomplete lip sealing, and trismus, staged reconstruction was performed with consideration of cosmetic and functional features. The treatment process using staged reconstruction and antifungal treatment for an extensive lower lip defect caused by fungal stomatitis is described.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Sialorrhea
/
Skin
/
Stomatitis
/
Bacterial Infections
/
Trismus
/
Candida
/
Candida albicans
/
Stents
/
Debridement
/
Diabetes Mellitus
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
Archives of Craniofacial Surgery
Year:
2018
Type:
Article